Key result
Reverse shoulder arthroplasty (RSA) may be a satisfactory treatment option for isolated, large glenoid fractures associated with anterior glenohumeral instability in the elderly.
Why the study?
Does reverse shoulder arthroplasty provide a satisfactory treatment option for elderly patients with isolated large glenoid fractures and acute glenohumeral dislocation?
Case Report (n=2)
Does reverse shoulder arthroplasty provide a satisfactory treatment option for elderly patients with isolated large glenoid fractures and acute glenohumeral dislocation?
Reverse shoulder arthroplasty may be a viable alternative to open reduction internal fixation for elderly patients with large glenoid fractures and shoulder dislocation who are at risk of rapid deconditioning.
Answers are grounded in this paper and cite their sources.
May support RSA consideration in frail elderly patients; hypothesis-generating and should not yet change practice.
CASE: Two elderly males presented with traumatic shoulder dislocation and bony Bankart fracture consisting of greater than 25% of the glenoid width. Due to several concomitant factors such as polytrauma, activity level, rotator cuff pathology, optimization of comorbidities, risk of complications, and potential for revision surgery, the patients were treated with reverse shoulder arthroplasty (RSA). CONCLUSION: RSA may be a satisfactory treatment option for isolated, large glenoid fractures associated with anterior glenohumeral instability in the elderly. These patients are susceptible to rapid deconditioning with prolonged immobilization and may not be medically suited to undergo the prolonged recovery period associated with open reduction internal fixation or potentially undergo revision operations.
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Smith et al. (2020) conducted a case report in Traumatic shoulder dislocation and bony Bankart fracture (n=2). Reverse shoulder arthroplasty (RSA) was evaluated. Reverse shoulder arthroplasty (RSA) may be a satisfactory treatment option for isolated, large glenoid fractures associated with anterior glenohumeral instability in the elderly.
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